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_JACER TRACTOR'SERVIC'E;,-;, <br /> NON-HAzARmus ALviwFm I <br /> GENERATOR NAME NOR CAL BEVERAGE GENERATING LOCATION � 1 <br /> 1 <br /> + .ADDRESS 1 <br /> - � I <br /> CITY, STATE & ZIP - S:rX� nr 'GA. 95'�OS� .• 'PHONE# <br /> F CONTAINERS: NO. -VOLUME WEIGHT <br /> i <br /> TYPE: TANKTRUCKDUMP TRUCK DRUMS OTHER <br /> WASTE DESCRIPTION: PET•CONT,SOIL GENERATING PROCESS <br /> po� DESCRIPTION OF WASTE QUANTITY TYPE .. , <br /> cz q 2 <br /> 1 ,° PROPERTIES: - PH SOLID 4 LIQUID SLUDGE SLURRY OTHER I <br /> ' HANDLING INSTRUCTIONS: T Y <br /> tTHE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS AS <br /> :DEFINED BY 40 CFR PART 261 OR ANY.APPLICABLE STATE LAW, AND HAS BEEN PROPERLY : <br /> DESCRIBED, CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTA- <br /> TION ACCORDING T'Ol APPLICABLE REGULATIONS. <br /> Typed or Printed Full NaMe and Signature Date <br /> .. .ten.--.�. .� •,�. _ —� . . - .. �.. +. - ., ., -. w .-' �,r, ! . <br /> PLACER TRACTOR SERVICIr <br /> NAME TRUCK # 4 <br /> ADDRESS T P.O. BOU 70 r DRIVER NAME •. <br /> CITY, STATE & ZIP LOOMIS,CA. 95650 SERVICE ORDER# <br /> � PHONE .'� a��. �•_ , .. � i i <br /> f Typed or Printed Full e and Signature ,. D to, <br /> DISPOSAL FACILITY PHONE LANDFILL PHONE P16-383-2122 <br /> ADDRESS _6537 JACKSON ROAD .' DI POSAL METHOD <br /> C11Y, STATE & ZIP SACRAMENTO,Ca. 95826 LANDFILL OTIiER ? <br /> Typed or Printed ,ull Name.and Signature .. Date <br /> DISCREPANCY: <br />